Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Georgia Marie Johnson, LPCC, LPC, RTC

Individual provider Case Manager/Care Coordinator · NPI 1376803957

Mrs. Georgia Marie Johnson, LPCC, LPC, RTC is a Mental Health Counselor in Fargo, North Dakota. Qualified in 1996, 30 years ago. Practices with Southeast Human Service Center, a 29-clinician group and accepts Medicare assignment.

Years since qualifying
30
In the registry since
2012
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2624 9th Ave S
Fargo, ND 58103-2350
Phone: (701) 298-4500
Fax: (701) 298-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1376803957
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , LPC , RTC
Sole proprietorNo
NPI enumeratedMay 17, 2012
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Southeast Human Service Center — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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